NPIMap

Organization Active NPI

Root Canal Specialists, P.C.

  • Endodontics
  • East Lyme, CT
National Provider Identifier
1053505651
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ROOT CANAL SPECIALISTS, P.C.
Practice address
5 Church LN
Suite #3
East Lyme, CT 06333-1621
Phone
(860) 691-0511
Fax
(860) 739-9599
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Amy D. Amaro, D.M.D.NPI 1811980956
Title
Vice President
Phone
(860) 691-0511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

5 Church LN
Suite #3
East Lyme, CT 06333-1621

Mailing address

5 Church LN
Suite #3
East Lyme, CT 06333-1621
Phone (860) 691-0511

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1053505651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CHURCH LN",
            "address_2": "SUITE #3",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331621",
            "telephone_number": "860-691-0511",
            "fax_number": "860-739-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CHURCH LN",
            "address_2": "SUITE #3",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331621",
            "telephone_number": "860-691-0511",
            "fax_number": "860-739-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT CANAL SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "AMARO",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "860-691-0511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lyme, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.